PCP Order
No medication can be administered without this.
What is a order from PCP?
Nurses are higher risk of making an error when their workflow is this.
What is distracted or interrupted
Amoxicillin 625mg PO is ordered. It is supplied as a liquid preparation containing 250mg in 5ml. How much does the nurse administer?
What is 12.5ml.
This is the common practice of medication administration safety?
What are the five rights?
This route of mediation administration usually takes the longest to be absorbed.
What is oral? Capsule/tablets
This dictates that a nurse follows only a written or typed order, or an order entered into a computer order entry system because these types of orders are less likely to result in error or misunderstanding.
What is safe practice?
The nurse is responsible for checking that the medication order was transcribed correctly by comparing the MAR (Medication Administration Record) with this.
What is the original PCP order?
Nurse is to administer 50mcg Fentanyl. Pharmacy supplies nurse with an ampule of Fentanyl 0.1mg/2ml. How much should the nurse administer?
What is 1ml.
To ensure correct administration of medications, name the 6 rights of medication administration.
What is right patient, right medication, right dose, right time, right route, expiration.
This is another word for biotransformation, the change of an active drug from its original form to an inactivated or new form.
What is Metabolism?
This can not be obtained by a student nurse?
What is verbal order?
What is no trailing zero and always a zero before a decimal point?
A nurse is calculating the total fluid intake for a client during a 4-hr period. The client consumes 1 cup of coffee, 4 oz of orange juice, 3 oz of water, 1 cup of flavored gelatin, 1 cup of tea, 5 oz of broth, and 3 oz of water. The nurse should record how many mL of intake on the client's record? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Determine if the amount to record makes sense. If 1 oz = 30 mL, it makes sense that 3 oz = 90 mL, 4 oz = 120 mL, that 5 oz = 150 mL and 8 oz = 240 mL. When all fluid intake is added together, it makes sense that the total intake for the client is 1,170 mL. The nurse should record an intake of 1,170 mL of fluid in the client’s record.
This identifies the drugs active ingredient and is derived from the chemical name.
What is the generic name?
The portion of a drug that reaches the systemic circulation and can act on the cells.
What is bioavailability?
Facility policies may vary, but this time-frame should be considered when administering medications on time.
What is 30 min. before and 1 hour after dose due?
This requires the evaluation of the nurse related to the effectiveness of the medication's intended purpose, monitoring the patient for the desired response.
What is the right response?
A nurse is caring for a client who has a pulmonary embolism and has a new prescription for enoxaparin 1.5mg/kg/dose subcutaneous every 12 hr. The client weighs 245 lbs. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Determine whether the amount to administer makes sense. If the provider prescribed 1.5 mg/kg/dose and the client weighs 111.3636 kg, it makes sense to administer 167 mg per dose. The nurse should administer enoxaparin subcutaneous 167 mg every 12 hr.
This is a subtopic of pharmacology that considers the "therapeutic uses and effects of drugs" and addresses the why we administer a specific drug.
What is Pharmacotherapeutics.
The is the process by which a drug is transferred from its site of entry into the body to the bloodstream.
What is absorption.
These 7 parts of a medication order must be included for the medication to be administered safely. Include 4 of the 7 parts.
What is Medication, Route, frequency, Dose, Patients name and secondary identifier, date & time order written, and PCP signature?
This is considered a serious adverse drug reaction.
What is a sentinel event or adverse event.
A nurse is preparing to administer digoxin 8 mcg/kg/day PO to divide equally every 12 hr for a preschooler who weighs 33 lb. Available is digoxin elixir 0.05 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Reassess to determine whether the amount to give makes sense. If there is 0.05 mg/1 mL and the prescription is for 0.12 mg, it makes sense to give 2.4 mL. The nurse should administer digoxin elixir 2.4 mL PO per day, and 1.2 mL per dose every 12 hr.
This field of study composed of combining the approaches of medical anthropology, phytotherapy, and pharmaceutical science. It examines medicinal plants.
What is Ethnopharmacology?
What is First-pass effect?